Question of the Week # 134

Q134] A 55 year-old woman comes to your office complaining of  sweating, headache, nausea and vomiting.  This happened shortly after her lunch.  She had some grape fruit juice and redwine with her lunch. She had She has a long history of depression but she does not believe in conventional antidepressants.  She is not being medically treated for depression  and anxiety however, she has been using over the counter herbal medicine for her depression. Which of the following is the most likely medication she has been using ?

a] Ginkgo biloba

b] Kava – Kava

c] St.johns wort

d] Ephedra

e] Yohimbine

Question of the Week # 133

Q133] A 60 year old woman is on clopidogrel therapy and is also taking ginkgo biloba. By altering which of the following does Ginkgo potentiate the effect of clopidogrel? ?

a] Bleeding time

b] Clotting time

c] Reduction of Factor V and VII

d) Displaces clopidogrel from protein binding sites

e) Thrombin time